摘要
目的：评价内镜下乳头切除术对十二指肠乳头部腺瘤的治疗价值。方法：回顾性分析41例因十二指肠乳头部腺瘤行内镜下乳头切除术治疗患者的临床资料,总结内镜治疗完成情况、并发症发生情况以及术后随访情况。结果：38例（92.7%,38/41）成功完成内镜下乳头切除术治疗。术中2例（5.3%,2/38）发生出血,1例（2.6%,1/38）发现穿孔,术后20例（52.6%,20/38）发生高淀粉酶血症,4例（10.5%,4/38）发生术后胰腺炎,均经内科保守治疗痊愈。有3例（7.9%,3/38）分别在切除术后6个月、1年及2年发现复发,其余35例随访期间无复发,随访时间12个月~5年,平均26.2个月。结论：内镜下乳头切除术治疗十二指肠乳头部腺瘤安全有效,但应严格评估适应证及注意术后密切随访。
Objective： To study the therapeutic value of endoscopic papillectomy for adenoma of the major duodenal papilla.Method： The clinical data of 41 patients with duodenal papilla adenoma treated by endoscopic resection were retrospectively analyzed, and the results of endoscopic treatment, complications and postoperative follow-up were summarized.Result： 38 cases（92.7%, 38/41） were successfully treated by endoscopic resection of the nipple. There were 2 cases（5.3%, 2/38）.with bleeding, 1 case（2.6%, 1/38） found perforation, postoperative 20 cases（52.6%, 20/38） of the occurrence of high amylase, 4 cases（10.5%, 4/38） after the occurrence of pancreatitis, were cured by conservative treatment of internal medicine.There were 3 cases（7.9%, 3/38） in 6 months after resection, 1 year and 2 years found recurrence, and the other 35 patients were followed up for 12 months to 5 years, average 26.2 months. Conclusion： Endoscopic papillectomy is safe and effective for the treatment of adenoma of the major duodenal papilla duodenal papilla, but it should be strictly followed up.
作者
方超英
何利平
王丽珍
杨文博
FANG Chao-ying HE Li-ping WANG Li-zhen et al(Fujian Provincial Hospital, Fuzhou 350001, China)
出处
《中外医学研究》
2016年第28期11-12,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
